Injury Assessment SOAP Scenarios

Sports Med 2

Fill out a SOAP note based on these scenarios1. Basketball Joe was the senior center on the men’s

basketball team. Before every game it is team tradition to show each other up and see who has the best dunk. While he is coming down from his dunk his teammate gets in the way causing basketball Joe to land on a straight leg hurting his left knee. He tries to walk it off but each time he tries to straighten his leg shooting pain causes him to flinch and retract his leg to a comfortable position. He can put most of his weight on his injured leg. He is point tender on the posteriolateral aspect of his left knee. There is no deformity or discoloration at this point. His AROM is non-existent with extension and hurts w/ RROM in flexion. Upon further inquiry you find out he has had a previous h/o knee problems but it was his right knee.

2. Jeremy was a junior football player for the BSU Broncos. During the homecoming game against the rival team Jeremy gets hit hard and goes down. He comes over to the ATC complaining of pain in his left shoulder. While doing a quick on site evaluation you find that his AROM is painful in all directions and he can’t go past 90 degrees in flexion, abduction, and horizontal adduction. Upon RROM in these directions there is extreme pain and decreased strength. Upon palpation you find point tenderness over his AC joint (tip of shoulder) positive piano key and squeeze test. He says that he did not put his arm out to catch his fall. Instead he tucked his arm in and landed on his shoulder. You take his shoulder pads off and confirm visual deformity and discoloration around the AC joint.